Medical Auditing



5 Points to remember for Medical Coding Auditor



According to one of the surveys the expected growth in the healthcare industry is 39% overall and out of which 19% is for medical auditing by 2022 and Medical Coding Auditing is absolutely the best career, if you are interested in healthcare industry.


So, in the Healthcare industry, Medical Coding Auditing is one of the important roles in maintaining quality. In any organization, reviewing the documentation accurately and helping to ensure to educate the operation team and identifying areas for improvement. The main job or role of Medical Coding Auditing is to perform internal audits and external audits for coding accuracy. So, every organization and client has policies and procedures to ensure efficient and effective service delivery. Because, Medical Coding Auditors responsibility is to identify errors made by the coding consultant and if any incorrect coding or missing documentation or misinterpretation of document that could have an impact on client or provider for their facility The main impact if we don’t have audit team may lead to, loss in user credentials, the reputation of physicians’ licenses and Medicare status. So, If we follow standard guidelines as per HIPAA in conducting close reviews. Medical Coding Auditors need to educate their respective medical coders or team on proper coding and reviewing the documents because following the policies and procedures with regard to new coding updates and guidelines is most important. If we look at the percentage, from last few years the trend towards incline and if you want to be one among them then you need to learn this skill because many organizations will do screening for their coders to find the best-talented candidates for that role because no one knows this but if you could learn this skill and i will help you to reach next level easily






The requirement to become Medical Auditor:


Any degree in Life Science or related degree

Experienced Professional medical coding approx 2 years

Strong understanding of critical coding concepts

Strong Knowledge of coding guidelines

Good Knowledge of Anatomy and Physiology

Review of through Medical record

Basic Auditing skills

Quality assurance and coding analysis

High level of attention to accuracy

Good communication skills

Sharing the feedback with coders